Need advice from CNM/ FNPs

queenanneslace, ADN, MSN, APRN, CNM · Nov 16, 2013

It sounds like you are not a nurse yet?

There are many direct entry RN-MSN-DNP programs which would prepare you to become a FNP or CNM - or sometimes both.

They are usually pretty spendy.

I know of FNPs who have completed a CNM program after they were practicing as an NP - this is usually called a 'post-Master's' option. I think a post-master's can be done in about a year. It usually does not take as long as 2 years. I know of people who have completed both at the same time. It also depends somewhat on the state where you will be working. In some states - FNPs and CNMs have very similar autonomy - in other states they are different. This might factor into which program you would want to complete first... maybe not. But something else to consider.

I know a lot of states are currently pushing for APRN legislation that would license all advance practice nurses (CNMs, NPs, etc) under one board. That might change the way you approach it, too. You have a lot to think about.

Some people do not believe that the direct entry programs produce competent providers. The learning curve is very steep. I'm on the fence. With dedicated and focused individuals, I think they will complete their programs and be ready to practice - but I've also witnessed graduates of direct-entry programs really struggle when they get into practice. Especially if they had no prior healthcare experience.

curlybee · Nov 16, 2013

It sounds like you are not a nurse yet?
There are many direct entry RN-MSN-DNP programs which would prepare you to become a FNP or CNM - or sometimes both.
They are usually pretty spendy.
I know of FNPs who have completed a CNM program after they were practicing as an NP - this is usually called a 'post-Master's' option. I think a post-master's can be done in about a year. It usually does not take as long as 2 years. I know of people who have completed both at the same time. It also depends somewhat on the state where you will be working. In some states - FNPs and CNMs have very similar autonomy - in other states they are different. This might factor into which program you would want to complete first... maybe not. But something else to consider.
I know a lot of states are currently pushing for APRN legislation that would license all advance practice nurses (CNMs, NPs, etc) under one board. That might change the way you approach it, too. You have a lot to think about.
Some people do not believe that the direct entry programs produce competent providers. The learning curve is very steep. I'm on the fence. With dedicated and focused individuals, I think they will complete their programs and be ready to practice - but I've also witnessed graduates of direct-entry programs really struggle when they get into practice. Especially if they had no prior healthcare experience.

Thank you for you input. No I am not a nurse yet. I had planned to go back to school for nursing 3 years ago, but life got in the way. I am now at the point where I am able to go to school. I don't mean this as horrible as it's going to sound but I need to be in and done as soon as possible. I'm in the last phase pf prerequisites and looking at schools my plan is to apply to the direct entry program. I'd prefer midwifery first which means I will need to move but I have no serious commitments preventing from moving really it is the financial aspect that scares me the most of the direct entry option. As for the other aspect coming in without an L& D background I hope it's not a huge disadvantage. I can see how having that experience would be a huge benefit.

I just don't know so much to think about.